Active NPI
Stacy Ervin, APN
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209011244
- Practice address
- 401 N Michigan Ave
Chicago, IL 60611-4255 - Phone
- (866) 825-3227
- NPI assigned
- Feb 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209011244 | IL | Primary |
Addresses
Primary practice location
401 N Michigan Ave
Chicago, IL 60611-4255
Mailing address
161 Washington St FL 14
Eight Tower Bridge, Suite 1400
Conshohocken, PA 19428-2083
Phone (866) 825-3227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1620 W Harrison St
Chicago, IL 60612-3801
Phone (312) 942-3034
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Almasri and Associates Inc. | Current | Accepting new patients | |
| Friend Family Health Center Inc | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Rush University Medical Center | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Friend Family Health Center Inc | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients |
Locations
3 E Golf Rd
Arlington Hts, IL 60005
Phone (800) 323-0358
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193
1620 W Harrison St
Chicago, IL 60612
Phone (312) 942-4200
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
825 S State St
Chicago, IL 60605
Phone (312) 566-9510
29373 Network Pl
Chicago, IL 60673
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1650 W Harrison St
Chicago, IL 60612
Phone (312) 942-0312
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
75 Remittance Dr
Dept 1611
Chicago, IL 60675
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
63 W 87th St
Naperville, IL 60565
Phone (630) 778-7645
4460 N Harlem Ave
Norridge, IL 60706
Phone (708) 402-9140
12632 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 587-0000
3475 S Alpine Rd
Rockford, IL 61109
Phone (815) 874-8000
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1578560090
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Clinic/Center
- Palos Heights, IL
- NPI 1104158286
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1477175305
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1003231689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 WASHINGTON ST FL 14",
"address_2": "EIGHT TOWER BRIDGE, SUITE 1400",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282083",
"telephone_number": "866-825-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114255",
"telephone_number": "866-825-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERVIN",
"first_name": "STACY",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209011244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.